Provider Demographics
NPI:1689965964
Name:SPENGLER, ADAM LAUBACH (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:LAUBACH
Last Name:SPENGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 S STAPLES ST
Mailing Address - Street 2:SUITE 318
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4682
Mailing Address - Country:US
Mailing Address - Phone:361-992-1060
Mailing Address - Fax:361-993-5347
Practice Address - Street 1:5350 S STAPLES ST
Practice Address - Street 2:SUITE 318
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4682
Practice Address - Country:US
Practice Address - Phone:361-992-1060
Practice Address - Fax:361-993-5347
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9305207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX282192803Medicaid
TX282192802Medicaid
TX282192801Medicaid
TXTXB129029Medicare PIN
TXTXB129027Medicare PIN
TXTXB129028Medicare PIN